NPI 1124342852
Angels of the Heart
Practice location
- Address
- 18870 Church Hill Dr, Riverview, MI 48193-1702
- Phone
- (734) 589-2313
- Fax
- (734) 225-6495
- Mailing address
- 17373 Roxbury Ave, Southfield, MI 48075-7610
Authorised official
- Name
- Stephen Ira Randall
- Title
- Consultant
- Phone
- (313) 529-7002
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124342852
- Entity type
- Organization
- NPI issued
- 24 Mar 2010
- Record last updated
- 24 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.